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APPENDIX "A" <br />SAFETY RECORD APPLICATION <br />Bidder's Name: <br />A. List the last five (5) projects on which you were the successful bidder, Provide <br />a name and address for each project. <br />B. List any lawsuits; administrative or arbitration proceedings to which you have <br />been a party in the last three (3) years. Give the style of case, number and <br />names and addresses of the other parties. <br />C. Provide three (3) credit references, one of which must be a financial <br />institution. <br />D. Provide the name and address of each Workers' Compensation insurance <br />carrier(s) for the last five (5) years. <br />E. List claims made against you by your employees or third parties for personal <br />injury, death or property damage on projects listed in Item A. <br />